Provider Demographics
NPI:1235451576
Name:ANTHONY, CATHY CD (RRT)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:CD
Last Name:ANTHONY
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 870294
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99687-0294
Mailing Address - Country:US
Mailing Address - Phone:907-357-7156
Mailing Address - Fax:
Practice Address - Street 1:501 W INTERNATIONAL AIRPORT RD STE 1A
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-1106
Practice Address - Country:US
Practice Address - Phone:907-565-6100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCI-29052279P3900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P3900XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredNeonatal/Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC104387OtherNATIONAL BOARD FOR RESPIRATORY CARE